Organization Active NPI

Passion Home Health Services LLC

  • Home Health Agency
  • MC Lean, VA
National Provider Identifier
1922404342
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-171303 Issued in VA
Legal business name
PASSION HOME HEALTH SERVICES LLC
Practice address
7918 Jones Branch Dr Ste 451
MC Lean, VA 22102-3337
Phone
(703) 752-6128
Fax
(571) 300-7660
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie Fofanah-Conteh
Title
Owner
Phone
(703) 825-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-171303 VA Primary

Addresses

Primary practice location

7918 Jones Branch Dr Ste 451
MC Lean, VA 22102-3337

Mailing address

7918 Jones Branch Drive, Suite 451
McLean, VA 22102-2210
Phone (703) 752-6128

Other identifiers 1

IdentifierTypeStateIssuer
1922404342MedicaidVA

National Provider Directory

National Provider Directory

Locations

7918 Jones Branch Dr
Ste 451
McLean, VA 22102
Phone (703) 752-6128

7880 Backlick Rd
Ste 5
Springfield, VA 22150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1922404342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 JONES BRANCH DRIVE, SUITE 451",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221022210",
            "telephone_number": "703-752-6128",
            "fax_number": "571-300-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 JONES BRANCH DR STE 451",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023337",
            "telephone_number": "703-752-6128",
            "fax_number": "571-300-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "FOFANAH-CONTEH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-825-0360"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-171303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922404342",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.